Most Relevant Information
Provider Data
| NPI Number: | 1003222803 |
| Provider Name: | BRANDI HAWK PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PSY28862 |
Most Important Dates
| Enumeration Date: | 07/01/2014 |
| Last Updated: | 12/22/2016 |
Provider Practice Location
3671 BUSINESS DR
SUITE 110
SACRAMENTO
CA
958202165
Practice Location Phone/Fax
| Phone: | 9167343125 |
| Fax: |
Provider Mailing Location
3671 BUSINESS DR
SUITE 110
SACRAMENTO
CA
958202165
Provider Mailing Phone/Fax
| Phone: | 9167343125 |
| Fax: |